Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyson Andelin

Individual provider Physician Assistant · NPI 1508343732

Tyson Andelin is a Physician Assistant in Moses Lake, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

605 S Coolidge St
Moses Lake, WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 764-0344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60875340 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PENDING (WA)

Record details

NPI number1508343732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address605 S Coolidge St, Moses Lake, WA 98837-1893

Other providers in Moses Lake